Mountain Spine and Accident Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

CH 8010 Issued in FL

Legal business name

MOUNTAIN SPINE AND ACCIDENT CENTER LLC

Practice address

777 Deltona Blvd
Suite 21
Deltona, FL 32725-7173

Phone

(386) 575-2225

Fax

(386) 575-1096

NPI assigned

Jun 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Thomas Mountain, DC

Title

Clinic Director

Phone

(386) 575-2225

Specialties & licenses 1

Addresses

Other names 1

• Mountain Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1417992264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 DELTONA BLVD",
            "address_2": "SUITE 21",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257173",
            "telephone_number": "386-575-2225",
            "fax_number": "386-575-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 DELTONA BLVD",
            "address_2": "SUITE 21",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257173",
            "telephone_number": "386-575-2225",
            "fax_number": "386-575-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPINE AND ACCIDENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "386-575-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "CH 8010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marietta Moret
• Ivy Grace E Morgan
• Chani Morman, ARNP
• Morningstar Medical, Inc.
• Stephanie D Morris
• Mountain Spine and Accident Center, LLC
• Chastity D Moye
• Multicare Physicians PSC
• Kellie Marlyn Muniz, M.D.
• Candace Nicole Murphy

• Multi-Specialty Clinic/Center in Deltona, FL
• Providers in Deltona, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.